Individual
HAZEL I BURDITT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN-C
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 231-3706
Mailing address
100 MEDICAL DR, P.O. BOX 311, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 231-3706
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
096180
MO
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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